Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $9,120.11	Facility		$1,148.15	$4,677.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $6,025.60	Professional		$2,570.40	$3,388.44	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $38,018.94 / $74,131.02	Facility		$14,125.38	$38,018.94	$74,131.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $5,754.40	Professional		$3,630.78	$4,897.79	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,265.80 / $6,165.95	Professional		$2,454.71	$4,265.80	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $14,454.40	Professional		$2,951.21	$4,786.30	$14,454.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,715.35 / $4,168.69	Professional		$3,388.44	$3,715.35	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $6,309.57	Professional		$2,818.38	$3,630.78	$6,309.57